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Ub04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 X 11, 1/page,1,000 Forms
Ub04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 X 11, 1/page,1,000 Forms
 
List Price: $221.33
Our Price: $184.44
Savings: $36.89


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Product Code: PRB05110
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Description
 
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. UB04 Hospital Insurance Claim Forms. Form Size: 9.5 x 11; Forms Per Page: 1; Form Quantity: 1,000; Sheet Size: 9.5 x 11.

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